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General NPI Number Information
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NPI Number | 1295907665
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Entity Type | Individual
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Provider Name | CATHERINE JANE HUNTER M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 225 E CHICAGO AVE # 63 DIVISION OF PEDIATRIC SURGERY
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City | CHICAGO
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State | IL
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Zip | 60611-2991
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Country | US
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Telephone | 312-227-9678
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Fax |
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Provider Business Mailing Address
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Address Line | 225 E CHICAGO AVE # 63
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City | CHICAGO
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State | IL
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Zip | 60611-2991
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Country | US
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Telephone | 312-227-4210
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A91659
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 35283
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License Number State | OK
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